Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

BREE FLECK

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1356854657
CMS profile
10851605
Location
WINSTON SALEM, NC

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2022–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$670.64

34 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $590.64 33
Education $80.00 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $132.00 9
PY2023 $13.34 1
PY2024 $475.60 13
PY2025 $670.64 34

Payment records · PY2025 (34)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Ferring Pharmaceuticals Inc. $14.59 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1242094697 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.94 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1225537543 CMS
Laborie Medical Technologies Corp. $24.20 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1250405768 CMS
PFIZER INC. $15.18 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1230826847 CMS
Endo USA, Inc. $19.42 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1201223579 CMS
Janssen Biotech, Inc. $80.00 10/22/2025 Education No dispute reported 06/30/2026 1175121115 CMS
Ferring Pharmaceuticals Inc. $14.40 10/01/2025 Food and Beverage No dispute reported 06/30/2026 1242094695 CMS
Endo USA, Inc. $19.24 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1201223577 CMS
IMMUNITYBIO, INC. $15.75 09/10/2025 Food and Beverage No dispute reported 06/30/2026 1233177969 CMS
Medtronic, Inc. $21.68 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1219781602 CMS
Janssen Biotech, Inc. $17.40 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1175120389 CMS
Telix Pharmaceuticals $18.59 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1189640043 CMS
PFIZER INC. $15.36 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1229874226 CMS
Olympus America Inc. $17.04 08/13/2025 Food and Beverage No dispute reported 06/30/2026 1223102051 CMS
Ferring Pharmaceuticals Inc. $14.97 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1242094693 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.98 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1225537539 CMS
Laborie Medical Technologies Corp. $11.26 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1250405770 CMS
Ferring Pharmaceuticals Inc. $14.62 06/30/2025 Food and Beverage No dispute reported 06/30/2026 1242094691 CMS
Sumitomo Pharma America, Inc. $18.62 06/25/2025 Food and Beverage No dispute reported 06/30/2026 1176761555 CMS
Olympus America Inc. $16.81 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1223102049 CMS
PFIZER INC. $17.25 06/02/2025 Food and Beverage No dispute reported 06/30/2026 1229401072 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.26 05/07/2025 Food and Beverage No dispute reported 06/30/2026 1225537541 CMS
Medtronic, Inc. $24.09 05/06/2025 Food and Beverage No dispute reported 06/30/2026 1219781600 CMS
PFIZER INC. $22.51 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1229213429 CMS
Sumitomo Pharma America, Inc. $17.29 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1176761553 CMS
Ferring Pharmaceuticals Inc. $16.01 04/23/2025 Food and Beverage No dispute reported 06/30/2026 1242094689 CMS
Medtronic, Inc. $17.92 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1219781598 CMS
COLOPLAST CORP $15.03 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1226958032 CMS
Olympus America Inc. $17.78 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1223102047 CMS
Laborie Medical Technologies Corp. $15.46 02/12/2025 Food and Beverage No dispute reported 06/30/2026 1250405772 CMS
Ferring Pharmaceuticals Inc. $15.51 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1242094687 CMS
ACCORD HEALTHCARE, INC. $19.01 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1248751329 CMS
Endo USA, Inc. $19.07 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1201223575 CMS
Procept Biorobotics Corporation $36.40 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1249746043 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
BREE FLECK, NPI 1356854657. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1356854657.
APA 7
IndustryPayments. (2026). BREE FLECK, NPI 1356854657 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1356854657
Bluebook
BREE FLECK, NPI 1356854657, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1356854657.

Source: Centers for Medicare & Medicaid Services, Open Payments.